Abstract: This report provided the first example of using pivot concept to prepare monolithic molecularly imprinted polymers (MIPs) with ketoprofen (KET) imprints, in which metal ions were employed as mediator between the functional monomer and the template to achieve higher fidelity of imprint. To solve metal ions in pre-polymerization system, a new ternary porogen of dimethyl sulfoxideGă˘tolueneGă˘isooctane was developed for preparation of MIP monoliths with high porosity and good permeability. The effect of polymerization parameters such as the nature of metal ions, the ratio of template to metal ion and the degree of crosslinking, on the permeability, morphology and affinity of the metal ion mediated MIP monolith were studied. The experiments demonstrated that Ni2+, Co2+ and Zn2+ can be applied as pivot to prepare KET-imprinted monolith. Relative to monolithic MIP without metal ions, all the ion-mediated macropore MIP monoliths showed enhanced permeability, capacity factor and selectivity factor. High permeability (1.06 x 1-7 mm2) was obtained on the Co2+-mediated MIP monolith and great selectivity factor (3.84) was achieved on the Ni2+-mediated one. The stoichiometric displacement model was constructed to investigate the recognition mechanism of metal-ion mediated MIP. The results indicate that metal ion as pivot not only improves the affinity but also allows the fine-tuning on the macroporous structure of MIP monolithTemplate and target information:ketoprofen, KETAuthor keywords:monolith, molecularly imprinted polymer, metal ion, Pivot, molecular recognition, ketoprofen